Individual provider · Type 1 NPI

Jaclyn Nichole Purnell

Peer Specialist · Tahlequah, OK

NPI number 1194459362 Active

Practice location

118 W Keetoowah St
Tahlequah, OK 74464-3820

Call (918) 708-2015 Map

Mailing address

909 Linn Ave
Wagoner, OK 74467-2132

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

16 other providers at this address

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About NPI 1194459362

Jaclyn Nichole Purnell's National Provider Identifier is 1194459362, issued on Jul 13, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 25, 2022.